<?
?>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Registrasi Rawat Jalan</title>
<link rel="shortcut icon" href="images/iconRs.png" />
<link href="css/style.css" rel="stylesheet" type="text/css">
<style type="text/css">
<!--
.style1 {color: #FFFF00}
-->
</style>
</head>

<body>
<table width="750" height="100%" border="0" align="center" cellpadding="0" cellspacing="0" bgcolor="#196217">
  <tr>
    <td><div id="logo"><table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td align="center"><img src="images/logo.gif" alt="" width="83" height="83"></td>
  </tr>
  <tr>
    <td align="center">Medical Center</td>
  </tr>
</table>
</div>
    <img src="images/p1.jpg" width="750" height="204"></td>
  </tr>
  <tr>
    <td height="34" background="images/menu-bg.jpg"><table border="0" cellspacing="0" cellpadding="0">
      <tr>
        <td class="menu"><a href="index.html">Home</a></td>
        <td width="1"><img src="images/ms.gif" alt=""></td>
        <td class="menu"><a href="pendaftaran.php">Registrasi</a></td>
        <td width="1"><img src="images/ms.gif" alt="" width="1" height="34"></td>
        <td class="menu"><a href="#">Pembayaran</a></td>
        <td width="1"><img src="images/ms.gif" alt=""></td>
        <td class="menu"><a href="login/login.php">Login</a></td>
        <td width="1"><img src="images/ms.gif" alt=""></td>
      </tr>
    </table></td>
  </tr>
  <tr>
    <td height="100%"><table width="750" height="100%" border="0" cellpadding="0" cellspacing="0">
      <tr>
        <td width="746" height="100%" valign="top"><div align="center"><?php
include'form_daftar.php';
?></div></td>
      </tr>
    </table></td>
  </tr>
  <tr>
    <td height="1" bgcolor="#b3b5a8" class="bottom-menu"><a href="index.html">Home Page</a> | <a href="Pendaftaran.php">Registrasi</a> | <a href="#">Pembayaran</a> | <a href="login/login.php">Login</a> |</td>
  </tr>
  <tr>
    <td height="1" class="bottom_addr">&copy; 2012 Project Praktikum PDT. Sistem Informasi Rawat Jalan. <br>
      Designed by <span class="style1">13.2008.1.00092</span></td>
  </tr>
</table>

</body>
</html>
